| NPI | 1194719203 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: AR E-3969) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: AR E3969) |
| Enumeration Date | 2005-09-02 |
| Last Update Date | 2013-09-03 |